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3. no conflicts of interest, no shares, non-prescribing
4. no conflicts of interest, no shares, non-prescribing U gaat er een collega bij krijgen..
5. Photo courtesy of Christian Lüthen Radboud University Medical center Founding Director REshape Center until 31/12/18 Fellow Center for the Egde Global Strategist Digital Health Core Faculty Exponential Medicine Singularity University
7. RADBOUD UNIVERSITY MEDICAL CENTER ‣ 800 beds ‣ 13.000 employees ‣ 1B$ revenue ‣ 1 of 8 UMC in NL 4
8. 5 So, now you will become an accountant? Not really : ‘Global strategist digital health’ Uhh global, as in offices in Amsterdam, Melbourne, San Francisco … Where is your office? But They do audits, right? Sure, next to that Global #1 leader Digital Strategy & Transformation Nope, as Edge Fellow you can’t buy anything with me. So now commercial?
9. 6 From Scaling Efficiency (the old paradigm) to Scaling Opportunities & Learning. Help CEO’s and their leadership to find their “Edge”
10. 7 About Apples and Edges
11. 7 About Apples and Edges
12. E. C. Schneider, D. O. Sarnak, D. Squires, A. Shah, and M. M. Doty, Mirror, Mirror: How the U.S. Health Care System Compares Internationally at a Time of Radical Change, The Commonwealth Fund, July 2017. 0 2 4 6 8 10 12 14 16 18 1980 1982 1984 1986 1988 1990 1992 1994 1996 1998 2000 2002 2004 2006 2008 2010 2012 2014 United States (16.6%) Switzerland (11.4%) Sweden (11.2%) France (11.1%) Germany (11.0%) Netherlands (10.9%) Canada (10.0%) United Kingdom (9.9%) New Zealand (9.4%) Norway (9.3%) Australia (9.0%) GDP refers to gross domestic product. Data in legend are for 2014. Source: OECD Health Data 2016. Data are for current spending only , and exclude spending on capital formation of health care providers. Percent Health Care Spending as a Percentage of GDP, 1980–2014
15. ©lucienengelen 5.2T ©lucienengelen
16. ©lucienengelen 5.2T ©lucienengelen
17. ©lucienengelen Medical knowledge doubles every 3.5 years And speeding up
18. ©lucienengelen Healthcare Data grows 48% per year
19. ©lucienengelen
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21. ©lucienengelen 4
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25. ©lucienengelen Ultrasound
26. ©lucienengelen Ultrasound
27. Philips Apple GE Verily (google) Medtronic Alibaba Pharma Amazon ©lucienengelen ©lucienengelen Medical Observational
30. Science fiction Is now becoming Science ©lucienengelen 2017 The End of the beginning
31. DATA LIBERATION 19 GDPR IT’S 2019
32. ©lucienengelen New data segway? Digitizing Digital
 Transition Digital
 Transformation HISTORIC DATA REAL TIME DATA
33. ©lucienengelen New data segway? Digitizing Digital
 Transition Digital
 Transformation HISTORIC DATA RECENT DATA REAL TIME DATA
34. ©lucienengelen New data segway? Digitizing Digital
 Transition Digital
 Transformation HISTORIC DATA RECENT DATA REAL TIME DATA
35. ©lucienengelen Live vitals in clinical patients From three times daily to 24/7 continuous monitoring Lean monitoring … when they need to be Continuous & Proactive Health data now Live vitals of patients Triple A
36. “for the first time ever in history, - we will be present when a person gets sick, - professionals will subscribe to patients’ data, - the middle-man will become disrupted “ 2012 @lucienengelen
37. ©lucienengelen How Apple just became an Academic Medical Center
38. ©lucienengelen How Apple just became an Academic Medical Center
39. ©lucienengelen 419,093 participants How Apple just became an Academic Medical Center
40. ©lucienengelen 419,093 participants How Apple just became an Academic Medical Center
41. 2012 @lucienengelen User friendly ‘drag & drop’ interface
42. Healthcare will become a software branch. ©lucienengelen
43. Healthcare will become a software branch. ©lucienengelen
44. ©lucienengelen Healthcare will become a software branch.
45. ©lucienengelen Healthcare will become a software branch.
46. ©lucienengelen Healthcare will become a software branch. has
47. Virtual Institutions Telemedicine & Telehealthcenter ©lucienengelen Reference Center remote monitoring NW European region implementation order
48. Virtual Institutions Telemedicine & Telehealthcenter ©lucienengelen Reference Center remote monitoring NW European region implementation order
49. Virtual Institutions Telemedicine & Telehealthcenter ©lucienengelen Reference Center remote monitoring NW European region implementation order
50. 4CAST : ’remote’ monitoring
51. AI (Artifficial Intelligence)
52. ©lucienengelen Spend money only once! ©lucienengelen
53. ©lucienengelen Personalized medicine
54. ©lucienengelen Preventive medicine
55. ©lucienengelen ‘personalized’ Health
56. Patients able creating own n=1 communities via HC IT systems ©lucienengelen 2011
57. Patients able creating own n=1 communities via HC IT systems eGo ©lucienengelen 2011
58. Patients able creating own n=1 communities via HC IT systems Via the patient + eGo ©lucienengelen 2011
59. Patients able creating own n=1 communities via HC IT systems Via the patient + eGo eCo ©lucienengelen 2011
60. Shift in denken & doen PORTAL ZH bronsysteem instelling bronsysteem instelling PORTAL HA(P) bronsysteem instelling bronsysteem instelling PORTAL Thuiszorg bronsysteem instelling bronsysteem instelling PORTAL ziekte- specifiek bronsysteem instelling bronsysteem instelling
61. Shift in denken & doen PORTAL ZH bronsysteem instelling bronsysteem instelling PORTAL HA(P) bronsysteem instelling bronsysteem instelling PORTAL Thuiszorg bronsysteem instelling bronsysteem instelling PORTAL ziekte- specifiek bronsysteem instelling bronsysteem instelling
62. Shift in denken & doen PGO patient PORTAL ZH bronsysteem instelling bronsysteem instelling PORTAL HA(P) bronsysteem instelling bronsysteem instelling PORTAL Thuiszorg bronsysteem instelling bronsysteem instelling PORTAL ziekte- specifiek bronsysteem instelling bronsysteem instelling
63. Shift in denken & doen PGO patient PORTAL ZH bronsysteem instelling bronsysteem instelling PORTAL HA(P) bronsysteem instelling bronsysteem instelling PORTAL Thuiszorg bronsysteem instelling bronsysteem instelling PORTAL ziekte- specifiek bronsysteem instelling bronsysteem instelling
64. Shift in denken & doen PGO patient PORTAL ZH bronsysteem instelling bronsysteem instelling PORTAL HA(P) bronsysteem instelling bronsysteem instelling PORTAL Thuiszorg bronsysteem instelling bronsysteem instelling bronsysteem patient PORTAL ziekte- specifiek bronsysteem instelling bronsysteem instelling
65. Shift in denken & doen PGO patient PORTAL ZH bronsysteem instelling bronsysteem instelling PORTAL HA(P) bronsysteem instelling bronsysteem instelling PORTAL Thuiszorg bronsysteem instelling bronsysteem instelling bronsysteem patient PORTAL ziekte- specifiek bronsysteem instelling bronsysteem instelling
66. Shift in denken & doen PGO patient PORTAL ZH bronsysteem instelling bronsysteem instelling PORTAL HA(P) bronsysteem instelling bronsysteem instelling PORTAL Thuiszorg bronsysteem instelling bronsysteem instelling bronsysteem patient PORTAL ziekte- specifiek bronsysteem instelling bronsysteem instelling
67. Shift in denken & doen PGO patient PORTAL ZH bronsysteem instelling bronsysteem instelling PORTAL HA(P) bronsysteem instelling bronsysteem instelling PORTAL Thuiszorg bronsysteem instelling bronsysteem instelling bronsysteem patient Patient-gericht PORTAL ziekte- specifiek bronsysteem instelling bronsysteem instelling
68. Shift in denken & doen Institutie-gericht PGO patient PORTAL ZH bronsysteem instelling bronsysteem instelling PORTAL HA(P) bronsysteem instelling bronsysteem instelling PORTAL Thuiszorg bronsysteem instelling bronsysteem instelling bronsysteem patient Patient-gericht PORTAL ziekte- specifiek bronsysteem instelling bronsysteem instelling
69. Source REshape Center 2014 The delocalization of health(care) ©lucienengelen
70. -70% Source REshape Center 2014 The delocalization of health(care) ©lucienengelen
71. ©lucienengelen
72. from ‘Hospital’ to ‘Home’ ©lucienengelen
73. from ‘Hospital’ to ‘Home’ from ‘Hospital’ to ‘Phone’ ©lucienengelen
74. ©lucienengelen Real estate innovation anno 2019 comes in 3 flavours 5 years and beyond 2-5 years Now- 2 years 0.0 - 1.0 0.8 - 1.2 1.0 - 100 REshape TTI Real estate buro
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77. ©lucienengelen Health(care) When people talk about us when we’re not at the table : we are on the menu
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80. ©lucienengelen
81. ©lucienengelen
82. ©lucienengelen
83. ©lucienengelen
84. ©lucienengelen
85. ©lucienengelen NEW RULES OF ENGAGEMENT Digital
 Transition Digital
 Transformation
86. ©lucienengelen NEW RULES OF ENGAGEMENT Digital
 Transition Digital
 Transformation
87. ©lucienengelen NEW RULES OF ENGAGEMENT Digital
 Transition Digital
 Transformation
88. ©lucienengelen NEW RULES OF ENGAGEMENT Digital
 Transition Digital
 Transformation It’s not cheating It is the New Normal
89. ©lucienengelen Automating something digital. Creating the new normal. Becoming a commodity : calculator Doing something digital that was done analog, The Digital healthcare Transformation Digitizing Digital
 Transition Digital
 Transformation
90. ©lucienengelen Automating something digital. Creating the new normal. Becoming a commodity : calculator Doing something digital that was done analog, The Digital healthcare Transformation Digitizing Digital
 Transition Digital
 Transformation Cahier > App
91. ©lucienengelen Automating something digital. Creating the new normal. Becoming a commodity : calculator Doing something digital that was done analog, The Digital healthcare Transformation Digitizing Digital
 Transition Digital
 Transformation Cahier > App App > Smartphone
92. ©lucienengelen Automating something digital. Creating the new normal. Becoming a commodity : calculator Doing something digital that was done analog, The Digital healthcare Transformation Digitizing Digital
 Transition Digital
 Transformation Cahier > App App > Smartphone Part of Operating System
93. ©lucienengelen Automating something digital. Creating the new normal. Becoming a commodity : calculator Doing something digital that was done analog, The Digital healthcare Transformation Digitizing Digital
 Transition Digital
 Transformation Logistics and data center Brick & mortar Healthcaresystem
94. Forget ‘uberized’ health(care) will be ‘amazoned’. 
 That journey is 80% logistics ©lucienengelen
95. Gartner Hype Cycle ©lucienengelen 0-1 0.8-1.2 1-100
96. ©lucienengelen Time Progress
97. ©lucienengelen Time Progress
98. ©lucienengelen Time Progress Performance GAP
100. time performance 0 @lucienengelen 2011
101. time performance 0 pre-gap @lucienengelen 2011
102. time performance 0 pre-gap @lucienengelen 2011 Travel Media Taxi Banking Retail
103. time performance 0 pre-gap post-gap @lucienengelen 2011 Travel Media Taxi Banking Retail
104. time performance 0 pre-gap post-gap @lucienengelen 2011 Travel Media Taxi Banking Retail Health(care)
105. time performance 0 pre-gap post-gap @lucienengelen 2011 Travel Media Taxi Banking Retail Health(care) So where are you?
106. Year Years to reach 100 Million people ©lucienengelen
107. Year Years to reach 100 Million people ©lucienengelen
108. Year Years to reach 100 Million people Months! Years ©lucienengelen
110. 800 Million to date
111. 4 DAYS! researchers estimate it added 144 billion steps to U.S. physical activity. That's 143 roundtrips to the moon
117. ©lucienengelen
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119. ©lucienengelen
125. ©lucienengelen Innovation comes in flavours For different phases Awareness Groundwork Execution 0.0 - 1.0 0.8 - 1.2 1.0 - 100
126. ©lucienengelen Innovation comes in flavours For different phases Awareness Groundwork Execution 0.0 - 1.0 0.8 - 1.2 1.0 - 100
127. ©lucienengelen Innovation comes in flavours For different phases Awareness Groundwork Execution 0.0 - 1.0 0.8 - 1.2 1.0 - 100
128. 68 An innovation is a product (like an apple)
129. 68 An innovation is a product (like an apple)
130. 68 An innovation is a product (like an apple)
133. 70 To innovate is a process (like a apple-orchard)
134. 70 To innovate is a process (like a apple-orchard)
135. 70 To innovate is a process (like a apple-orchard)
136. 70 To innovate is a process (like a apple-orchard) REach
137. 70 To innovate is a process (like a apple-orchard) REach
138. 70 To innovate is a process (like a apple-orchard) REach
139. ©lucienengelen 2011
140. The whole System In the Room Change Change
141. The whole System In the Room Change Change For every action, there is an equal and opposite reaction
142. Patient journey ©lucienengelen 2011
143. Patient journey Institution journey ©lucienengelen 2011
144. Professional journey Patient journey Institution journey ©lucienengelen 2011
145. Professional journey Patient journey Journey of life Institution journey ©lucienengelen 2011
146. Professional journey Patient journey Journey of life Institution journey ©lucienengelen 2011
147. ©lucienengelen
148. ©lucienengelen
149. ©lucienengelen
150. ©lucienengelen
151. fór Innovation shift ©lucienengelen 2011
152. fór Innovation shift ©lucienengelen 2011
153. fór Innovation shift co-create Patients Included Patients Included is a Trademark of the REshape & Innovation Center ™ ©lucienengelen 2011
154. fór by Innovation shift co-create Patients Included Patients Included is a Trademark of the REshape & Innovation Center ™ ©lucienengelen 2011
155. fór by Innovation shift co-create Patients Included Patients Included is a Trademark of the REshape & Innovation Center ™ ©lucienengelen 2011 Human Centered Design
156. The Innovation Bulb @lucienengelen 2017 “The end of the beginning” image bulb: pawnile.deviantart.com ©lucienengelen 2017 The End of the beginning
157. The will The Innovation Bulb @lucienengelen 2017 “The end of the beginning” image bulb: pawnile.deviantart.com ©lucienengelen 2017 The End of the beginning
158. The need The will The Innovation Bulb @lucienengelen 2017 “The end of the beginning” image bulb: pawnile.deviantart.com ©lucienengelen 2017 The End of the beginning
159. Leadership The need The will The Innovation Bulb @lucienengelen 2017 “The end of the beginning” image bulb: pawnile.deviantart.com ©lucienengelen 2017 The End of the beginning
160. Strategy Leadership The need The will The Innovation Bulb @lucienengelen 2017 “The end of the beginning” image bulb: pawnile.deviantart.com ©lucienengelen 2017 The End of the beginning
161. Processes & Technology Strategy Leadership The need The will The Innovation Bulb @lucienengelen 2017 “The end of the beginning” image bulb: pawnile.deviantart.com ©lucienengelen 2017 The End of the beginning
162. Processes & Technology Strategy Culture Leadership The need The will The Innovation Bulb @lucienengelen 2017 “The end of the beginning” image bulb: pawnile.deviantart.com ©lucienengelen 2017 The End of the beginning
163. Processes & Technology Strategy Culture Leadership The need The will The Innovation Bulb @lucienengelen 2017 “The end of the beginning” image bulb: pawnile.deviantart.com ©lucienengelen 2017 The End of the beginning
164. Processes & Technology Strategy Culture Leadership The need The will The Innovation Bulb @lucienengelen 2017 “The end of the beginning” image bulb: pawnile.deviantart.com Demolition-team ©lucienengelen 2017 The End of the beginning
165. ©lucienengelen Scout / Concept Vision / Design Enroll Scale Radboudumc Labs Spinn-out Business model MOC’s Moments of Choice Demand driven relates to strategy REshape iLAB PVI
166. ©lucienengelen Scout / Concept Vision / Design Enroll Scale Radboudumc Labs Spinn-out Business model MOC’s Moments of Choice Demand driven relates to strategy REshape iLAB PVI
167. Concept to prototype Ideas from: Patients, HCP & Network Innovations with significant impact on health(care) Implement Moment of Choice : 
 on hold or terminated Test and Evaluate Chance of success Idea to concept (MoC) (MoC) (MoC) (MoC) ©lucienengelen iLab Scaling (PVI) REshape Center iBoard Chair Board Radboudumc
168. Concept to prototype Ideas from: Patients, HCP & Network Innovations with significant impact on health(care) Implement Moment of Choice : 
 on hold or terminated Test and Evaluate Chance of success Idea to concept (MoC) (MoC) (MoC) (MoC) ©lucienengelen iLab Scaling (PVI) REshape Center iBoard Chair Board Radboudumc
170. 10 archetypes for the future of health
171. ©lucienengelen Nicolai Copernicus 1500
172. ©lucienengelen Nicolai Copernicus 1500
173. ©lucienengelen Health(care)’s Copernican moment Nicolai Copernicus 1500
174. ©lucienengelen Professional Patient Health(care)’s Copernican moment Nicolai Copernicus 1500
175. ©lucienengelen Professional Patient Patient Professional Health(care)’s Copernican moment Nicolai Copernicus 1500
176. 82 Someone already IS looking from the egde
181. ©lucienengelen
182. ©lucienengelen
183. Delocalized ©lucienengelen
184. Delocalized Democratized ©lucienengelen
185. Delocalized Democratized Digital ©lucienengelen
186. Delocalized Democratized Digital Dollars ©lucienengelen
187. 86 ARE YOU LOOKING AT THE EDGE?
188. 86 ARE YOU LOOKING AT THE EDGE?
189. Exponential Health Forum .com Rome Spring 2020
190. 88 I wish you all a soft landing into the future
191. 88 I wish you all a soft landing into the future
192. ©lucienengelen ©lucienengelen
193. ©lucienengelen ©lucienengelen
194. www.lucienengelen.com/book REVISED REVISED
195. @lucienengelen 823.214 followers